| NPI | 1083937023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY FITCH Credentials Coordinator 913-851-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 00281) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 300045) |
| 106H00000X Marriage & Family Therapist (Licence: KS 084) | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2012-07-24 |